Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,232.93 / $15,848.93	Facility		$5,623.41	$10,232.93	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $1,258.93	Professional		$1,230.27	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $6,309.57	Facility		$1,318.26	$1,318.26	$6,309.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $4,168.69	Professional		$1,318.26	$1,318.26	$4,168.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,011.87 / $5,248.07	Facility		$4,786.30	$5,011.87	$5,248.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,630.78 / $6,309.57	Facility		$1,047.13	$3,630.78	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,630.27 / $3,981.07	Professional		$776.25	$2,630.27	$3,981.07